2 January 2014
During an inspection looking at part of the service
We looked at the MAR charts for everyone using the service and we saw that they were up to date and staff had clearly initialled the forms when medication had been issued. The manager confirmed that staff now checked the MAR charts at the beginning of each shift and reported any concerns to the manager. Staff had received additional training and the medication policy and procedure had been reviewed. An audit was carried out at least once a week where the stock levels and MAR charts were reviewed.
We saw that the format for the care plans had been changed to enable staff to add additional information from the daily records. The staff signed and dated any new information they added to the care plan. The care plans were all up to date and an additional form had been developed for information relating to short term changes to the care and support required, for example, if antibiotics had been prescribed. The daily records were detailed and clearly written and the staff signed the notes they had added.